Overuse of steroid cream

Both doctors agree that because there are many different steroid creams available (and seven different categories of steroids), it's critical to visit a board-certified dermatologist instead of a primary care physician. "If a person uses too much of a steroid cream or one that's too strong for their skin, there can be complications," says Dr. Rand. "General doctors may not be aware of the specific strengths and recommendations for these products. I've also heard from patients that their pharmacists made a decision to give them a different cream based on price, and this is also a concern. Most likely, the pharmacists also aren't aware of the specifics regarding these creams. However, when used appropriately, steroid creams can be a total game changer and even help save people’s lives."

Guidance on prescribing topical steroids reminds practitioners to prescribe the least strong steroid which is effective for the least possible length of time. A balance must be struck between efficacy and reducing adverse effects. Education is crucial to maximise efficacy and reduce adverse effects. Use of printed information may be helpful (including detail of how to use emollients and topical steroids) and education involving practice nurses to help improve efficacy of treatments and information for patients. Examples can be obtained from the British Association of Dermatologists and the National Eczema Society.

For Atopic Dermatitis: "My dyshidrotic eczema has been fairly constant for the past decade. Prior it was caused by food prep (was a cook), now it just is for no apparent reason. I have used betamethazone and cordran tape, with limited results. Dyshidrotic eczema requires strong medicine. My condition gets pretty chronic with peeling dry patches that often have persistent painful cracking. Within a couple of weeks of intentional use, the condition gets much better. It never goes completely away, but is much more manageable. I apply at night most days, if it has a flare up, then several times a day. I'm not sure of all of the different ways you can get clobetasol, but I use ointment. If you need a medicine this strong, be thankful it exists! It gets it done!"

Almost all patients with LS need ongoing treatment with weak cortisone cream to stay well, prevent scarring and minimise the risk of possible cancer. This treatment is also very safe long term in LS. There are very few risks and side effects if it is monitored regularly. Again, DO NOT DENY YOURSELF EFFECTIVE MAINTENANCE TREATMENT. See your doctor regularly for monitoring and reassurance that all is going to plan. This includes cancer checks. There are some doctors who don’t believe that patients with LS need long term follow up. We don’t agree with this approach. Early detection of vulval cancer could save your life.

Overuse of steroid cream

Almost all patients with LS need ongoing treatment with weak cortisone cream to stay well, prevent scarring and minimise the risk of possible cancer. This treatment is also very safe long term in LS. There are very few risks and side effects if it is monitored regularly. Again, DO NOT DENY YOURSELF EFFECTIVE MAINTENANCE TREATMENT. See your doctor regularly for monitoring and reassurance that all is going to plan. This includes cancer checks. There are some doctors who don’t believe that patients with LS need long term follow up. We don’t agree with this approach. Early detection of vulval cancer could save your life.